Inspection on 07/08/07 for Hartford Hey

This inspection was carried out on 7th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Hartford Hey 28/11/06

Hartford Hey 27/06/06

Hartford Hey 01/11/05

Hartford Hey 01/07/05

Hartford Hey 09/11/04

Hartford Hey 02/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Hartford Hey Manorial Road South Parkgate South Wirral Cheshire CH64 6US Lead Inspector Maureen Brown Unannounced Inspection 7 August 2007 10:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hartford Hey Address Manorial Road South Parkgate South Wirral Cheshire CH64 6US 0151 336 4671 0151 336 4671 hartfordhey@aol.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Hartford Hey Limited Debra Topping Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 28 service users to include:*Up to 28 service users in the category of OP (Old age not falling within any other category). 28th November 2006 Date of last inspection Brief Description of the Service: Hartford Hey is a residential care home providing personal care and accommodation for up to twenty-eight older people. It is a family run private business. The home is located in a residential area of Parkgate on the Wirral, near to the river Dee estuary. The home is within walking distance of shops, public houses and other community facilities. There are adequate car parking facilities available. Hartford Hey consists of two large older style semi-detached houses converted into one. Service user accommodation is on three floors, with access to all floors by a passenger lift or the stairs. There are 22 single and 3 double bedrooms, twelve of which have en-suite facilities. The remaining bedrooms have wash hand basins fitted. The home has extensive patio and garden areas. Some of the bedrooms of the ground floor extension have direct access to the gardens via patio doors. The staff team consists of the registered manager who is supported by the owners and management team, senior care staff, care staff, cooks, cleaners, and maintenance support staff. The fees at Hartford Hey are between £357.00 and £480.00 per week. Optional extras include hairdressing, chiropody and newspapers. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on 7 August 2007 and lasted six hours. This visit was just one part of the inspection. Before the visit the home was also asked to complete a questionnaire to provide up to date information about services at the home. Questionnaires were also made available for service users, relatives and other professionals to find out their views. Other information since the last key inspection was also reviewed. During the visit various records and the premises were looked at. A number of service users, staff and relatives were also spoken with and they gave their views about the service. Twenty-three standards were assessed including all the key standards and all but one were met. Feedback was given to the manager at the end of the visit. What the service does well: The home has an established staff team who were keen for high standards to be maintained. Residents and relatives spoke well of the care given and said that staff were friendly and had an excellent approach. The staff managed activities and entertainments on a regular basis and provided a range of activities. Discussions and questionnaires confirmed that residents enjoyed the activities provided. A good standard of hygiene was seen throughout the home and the standard of décor was acceptable. Service users commented, “I can usually have an alternative if I cannot eat the meal”, “I am very happy here and have no problems” and “I find the home overheated for my preference”. Relatives commented, “Staff welcomed me to the home. I am satisfied with the overall care provided”, “The staff are always available to help my relative if they have a problem”, “My relative is always saying how well they are being treated by the staff” and “The home provides first class care for elderly people”. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 6 Visiting professionals commented “I am satisfied with the overall care provided to the service users”, “Very pleasant and courteous staff who clearly have a pleasant manner with the patients and knowledge of their needs and problems”, “It is very apparent that staff allow patients choice and flexibility wherever possible” and “Excellent relationships with patients, friendly and caring staff”. What has improved since the last inspection? What they could do better: To ensure that residents are cared for, by staff that are trained and competent to do their jobs, mandatory and specialist training in line with residents needs should be continued. 50 of care staff should obtain NVQ level II in Care and the manager must obtain NVQ level IV in Care and Management. To ensure that staff are properly supervised in their role each staff member should continue to receive formal supervision sessions and annual appraisals. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 7 The choice of meals at each mealtime offered should vary and these should always be recorded on the menu board and sheet. To ensure that service users and prospective service users and their families have up to date information the service users guide should be reviewed annually and the current fees must be included. Also within the statement of purpose NCSC should be changed to CSCI and other formats for the service users guide should be considered so that people have access to the information in a format that is suited to their particular needs. To ensure that service users are protected by the homes recruitment procedures identity checks should be carried out with regard to all staff members. A review sheet should be developed for monthly care plan reviews for all service users, to ensure their needs are being met and that staff have up to date and relevant information regarding people they support. The activities diary should be kept up to date so that people can see what activities have taken place. Also a decision on which of several complaints procedures should be used, and this adopted to avoid confusion to the people who use the service. Loans made to service users by staff or the owners should cease to continue when their money is “low”. The manager should ensure that funds are available as necessary for service users so that they can spend their money as they wish. Also the service users balances for monies held by the home should be checked on a regular basis with records kept so that service users money is kept safe. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 & 3. Standard 6 was not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient information is provided for residents so that they are able to make a decision about moving into the home. EVIDENCE: The statement of purpose and service users guide were produced in individual folders. They included all the information needed to make an informed choice about where to live. Information about the facilities, services provided, terms and conditions of residence was included. Both these documents were well presented and easy to read. A copy of the latest inspection report was available in the office. The statement of purpose was updated in July 2007. Recommendations were made that the service users guide be updated annually; that NCSC be changed to CSCI in the statement of purpose and function and that other formats be considered for the service users guide in line with clients needs. A requirement was made that the fees must be included in the service users guide. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 10 From surveys and discussions the residents and their representatives confirmed that they had received a copy of the service users guide during the initial contact period. The previous requirement regarding the statement of purpose and service users guide had been met. A pre-assessment document was available for each service user, which included personal information such as next of kin, medical information, and details of the assessor. Also included was all information required to make an informed decision as to whether the individuals’ needs could be met. The manager confirmed that this was completed during the initial meeting with a prospective resident. Social Services assessment documents were also used by the home to inform the initial assessment process. Residents and relatives confirmed that the social worker or manager spoke to them about the home and discussed their needs prior to admission. The manager confirmed that intermediate care was not provided at the home. Standard 6 is therefore not applicable. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: A sample of four residents’ care records were seen during this site visit. These were in individual folders, which were well presented and easy to read. It was noted that monthly care plan reviews were not completed and a recommendation was made to develop a review sheet for this purpose. Risk assessments were available for falls, moving and handling, risk of burns from radiators and bathing. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 12 Each resident had a visiting professionals sheet that showed visits from GP’s, District Nurses, chiropodist and visits to out patient appointments. GP comment cards stated “they were satisfied overall with the care provide to their patients”, “The home usually responds to the different needs of the individual” and “Any specific instructions or advice on issues are clearly followed and acted upon”. A social worker commented, “that at the six week review the resident was settling well and thriving particularly enjoying the meals, activities and company within the home.” The medication system is the Nomad monitored dosage system and the drugs are supplied on a weekly basis and signed by the person in charge. Staff are trained in medication awareness. The medication trolley is secured to the wall in the hallway. Staff confirmed they had received medication awareness training and staff files examined showed medication training undertaken. Many of the service users within the home were not able to confirm that they had been involved in the care planning or review process. However they were able to confirm that staff helped them when they needed it, such as with personal care tasks and said, “I am very happy here and have no problems” and “The home is always fresh and clean”. Observations made during the site visit included seeing staff knock on the toilet door before entering and staff interactions with service users during lunch. The staff were attentive to service users needs and helped them when required. The general atmosphere within the home was warm and friendly. Daily record sheets seen showed day-to-day activities of each resident. They were written clearly, easy to follow and were signed by carers. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ were able to take part in a range of activities of their choosing. Personal and family relationships were encouraged by the home and the staff team supported people with this. EVIDENCE: The statement of purpose states “activities will be offered to service users which are appropriate to their need and ability. The home will consider social, spiritual, cultural, emotional and physical needs of the service users” and that “residents are free to decline activities”. The range of activities provided at the home included bingo, library service, day excursions, TV rooms, videos, films, music, live music, tea and cakes in the garden, garden walks, entertainers and parties. The activity diary used by the home had not been completed regularly over the last few weeks but prior to that a variety of activities had been recorded and a recommendation was made about keeping this record up to date. In the care plans an activities sheet had been completed, which showed the activities preferred by the individual. One service user said, “there are usually activities I can take part in”. Residents said they liked being out in the garden in the nice weather. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 14 Visits from families and friends were recorded in the daily record sheets. These were seen during the site visit. One relative stated “Staff welcomed me to the home”. Samples of menus were seen prior to the site visit. It was noted that a choice is sometimes recorded however most times the alternative meal was omelette, and on many occasions no choice was indicated on the menu sheet. A recommendation was made regarding recording a variety of other choices available over the week. The previous recommendation regarding providing a choice of meals had been met. The menus showed that a varied diet was provided to the service users. At the site visit lunch was seen served and a choice of beef casserole or omelette was available. After the meal service users confirmed they had enjoyed the meal. One service user said “the meals are good here, plenty of variety and you can have an alternative if you want”. All appropriate records are kept in the kitchen including fridge temperatures and records of hot cooked foods. The kitchen was seen to be clean and tidy during this visit. Autonomy and choice was referred to throughout the policies and procedures of the home. Service users and relatives confirmed choice was given and these form part of the ethos of the home. Residents were able to exercise choice over many aspects of their daily life. Whether to join in activities or not; choosing when to get up and go to bed; a choice of whether to eat in company or not and having their own personal possessions within their bedrooms. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear policies are in place to ensure that residents were protected from abuse, neglect and self-harm and staff are trained in the Protection of Vulnerable Adults. EVIDENCE: The home had several different copies of the complaints procedure, which made it difficult to decide which version was currently being used. On discussion with the manager it was decided that one of the versions would be adopted and that this should be cascaded throughout all documentation. A recommendation was made accordingly. The home or CSCI had not received any complaints since the last visit. Service users spoken with confirmed they would contact the manager if they had any problems. On examination of three staff files it was evident that Protection Of Vulnerable Adult training had taken place. The manager stated that they were signed up to Cheshire County Councils “No Secrets” policy. The home also had policies on restraint, adult protection, signs of abuse, preventing abuse of a person in our care, suspicion of abuse, whistle blowing, bullying and harassment. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a clean and comfortable environment for the people to live in. EVIDENCE: A tour of the communal areas and some bedrooms was undertaken. The home was found to be clean and odour free. Some rooms had been personalised by the service users with their own furniture, pictures and mementoes. Some service users were in their bedrooms during the tour and one service user confirmed that they could go to their rooms at any time. Service users confirmed that they liked their bedrooms and that the “home was very nice”. Other comments included “I am treated well by the staff” and “I am very happy here and have no problems”. An acceptable standard of décor was evident throughout. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 17 The grounds were well maintained, extensive and secure. Residents said that it was nice to sit out in the good weather and staff confirmed that the seating area was used in the better weather. Some service users were listening to records in one lounge and reading in the other lounge. The home was light, airy and was warm. On discussions with a group of service users it was confirmed that the home was warm enough for them, they agreed it was. An ongoing programme of redecoration was in evidence. The manager confirmed that four bedrooms and all the communal areas had been repainted since the last visit. Also a new conservatory had been built and furnished and a bathroom had been fully refurbished and glass roof built to improve lighting. These had significantly improved the facilities for the people who live in the home. Residents confirmed that the conservatory was great and provided extra quiet space in the home. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager provided clear leadership to the staff team so that well-supported staff supports people who use the service. Maintaining the improvements in mandatory and specialist training is necessary to ensure well-trained staff support service users. Service users are protected by the homes recruitment policy and practices ensuring service users safety. EVIDENCE: The staff rotas showed the staff on duty over the week. This appeared to meet the needs of the service users. Service users confirmed that enough staff were around to help them and observations made during the site visit showed staff were attentive to service users needs. Three staff files were examined. These had all pre-employment checks in place. A previous requirement had been met. It was recommended that identity checks for the staff team are carried out and this remains an outstanding recommendation. A range of mandatory and specialist training had been undertaken in relation to the staff member’s role. Progress has been made in mandatory and specialist training, however a recommendation was made for this to continue. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 19 Eight out of nineteen staff have obtained NVQ level 2 or above. This is an increase on the previous visit, however the recommendation remains outstanding. The manager stated they were working towards this. Seven staff were currently undertaking this award. The home had an equal opportunities policy that stated it was committed to equal opportunities for all staff. It stated that equal opportunities would be used in recruitment of staff, recruitment publicity and staff development. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service live in a home where their health, safety and welfare are protected. The views of people who use the service are obtained and used to influence the running of the home. Staff that are not fully supervised supports service users. EVIDENCE: The deputy manager was promoted to the manager’s post in July 2006 and has become registered with the Commission. She is currently undertaking NVQ IV Registered Managers Award and a recommendation was made for this to continue. The manager has NVQ II in care and has worked at the home for thirteen years, four of which in a senior role. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 21 During discussions with residents and information received by relatives it was felt the home was well run and that the manager and staff were very welcoming and friendly. This was confirmed during the site visit. Relatives confirmed that staff worked in a very friendly manner. Policies and procedures seen were appropriate to the home and significant progress has been made in this area with the policies being updated in January 2007. The previous requirement has been met. The manager stated that the quality assurance process was completed on 1 December 2006 and that a good response had been received. The questionnaires had been sent to service users, families and other stakeholders. From the feedback given a person who used the service stated, “the care and support was good”; a relative said “the home had a warm and welcoming atmosphere” and a stakeholder commented, “Communication and working in partnership was excellent”. The manager said that service users were encouraged to keep only a small amount of money on the premises. All residents have a lockable drawer in their bedrooms. The manager holds some money for the residents. This is kept secure in the office. It is in individual wallets with records and receipts kept. A sample of these were checked and recommendations were made regarding balances to be checked to ensure these are up to date and loans by staff or owners to service users should cease. Both these were considered poor accounting practice and the manager was urged to ensure better practice occurred in the future. An improvement in staff formal supervision, appraisals and direct observations had been undertaken however previous recommendations remain to ensure that these continue to be developed. Day to day supervision was seen during the site visit and this was good. The manager stated that during the hand over session of each shift any changes in service users or other issues that arise are discussed. Safe working practices were in place. Up to date fire safety checks were in place and the previous recommendation had been addressed. Tests on extinguishers and fire system were in place. Up to date gas safety and electrical wiring safety, annual tests of hoist, bath lift and passenger lift. The accident book was seen and a previous recommendation had been met. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 5 Requirement The registered person must ensure that the current fees are included in the service users guide so that people have access to up to date information. Timescale for action 30/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP1 OP1 OP1 Good Practice Recommendations The registered person should ensure that the service users guide is updated annually so that people have access to up to date information. The registered person should ensure that NCSC is changed to CSCI within the statement of purpose and function so that people have access to up to date information. The registered person should consider other formats for the service users guide so that people have access to the information in a format that is suited to their particular needs. DS0000006593.V342383.R01.S.doc Version 5.2 Page 24 Hartford Hey 4 OP7 5 6 7 8 9 10 11 OP12 OP15 OP16 OP28 OP29 OP30 OP31 12 OP35 13 OP35 14 OP36 The registered person should consider developing a review sheet to record monthly care plan reviews to ensure that staff have up to date and relevant information regarding people they support. The registered person should ensure that the activities diary is kept up to date so that people can see what activities have taken place. The registered person should consider different choices for the meals and not offer the same or no alternative each day to ensure full choice and variety for service users. The registered person should consider using just one version of the complaints procedure to avoid confusion to the people who use the service. The registered person should ensure that 50 of care staff obtain NVQ level II in Care so that well-trained staff support service users. The registered person should ensure that identity checks are carried out with regard to all staff members so that robust recruitment processes protect service users. The registered person should ensure that mandatory and specialist training is continued for all staff as appropriate so that well-trained staff support service users. The registered person should ensure that a plan is produced to show how the manager will obtain NVQ level IV in Care and Management so that staff and service users are supported by a well trained manager. The registered person should ensure that loans made to service users by staff or the owners cease to continue when their money is low. The registered person must ensure that funds are available as necessary for service users so that they can spend their money as they wish. The registered person should ensure that service users balances for monies held by the home are checked on a regular basis with records kept so that service users money is kept safe. The registered person should ensure that the formal supervision process and annual appraisals are continued so that well-supervised staff supports service users. Hartford Hey DS0000006593.V342383.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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